2018 Tax Forms
Search
Browse Categories

TF5096 2019 Laser ACA 1095C Employer Provided Health Insurance 8 1/2 X 11"

Manufacturer: NEBS
Manufacturer Part No: TF5096
TF5096 2019 Laser ACA 1095C Employer Provided Health Insurance
Size: 8 1/2 X 11"

This form is used by employers with 50 or more full-time employees (FTEs) who worked at least one month during the year.
Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance.

  • 2-sided form
  • Black ink imprint
  • Laser form - for Pressure Seal please see product TF5507 here
  • Typically used by payroll companies and Applicable Large Employers (ALEs) with 50 or more full-time employees (FTEs) that worked at least one month during the year, that provide health plans.
  • For reporting whether or not the employer offered health coverage to employees.
  • One page with backer information per form.
  • Compatible with laser or inkjet printers.
  • This form is not available in multiple copies.  You must order for the total number of copies you need (ex. 50 employees - in most cases you will need one copy for the employee, one for the employer, and one for the IRS so you must order quantity 150).
  • Packaged in quantities of 100
  • 100% Satisfaction Guarantee
  • Higher quantities are available at discounted prices.
  • Speak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 8AM - 7PM EST Monday - Thursday and 8AM - 5PM EST on Friday.


Your Price:
Starting at $16.20

Pricing Options

Quantity & Pricing:

Personalization

Optional
Include any comments you feel we need to know when processing this order.400 characters remaining
free shipping

Related Products

TF1203 Laser Link Software 2019 for Windows
TF1203 Laser Link Software 2019 for Windows
Your Price: Starting at $55.80
TF1203 Laser Link Software 2019 for Windows
TF1203 Laser Link Software 2019 for Windows
free shipping
TF77771 2019 1099 Double-Window Envelope 5 5/8 x 9
TF77771 2019 1099 Double-Window Envelope 5 5/8 x 9"
Your Price: Starting at $14.40
TF77771 2019 1099 Double-Window Envelope 5 5/8 x 9"
TF77771 2019 1099 Double-Window Envelope 5 5/8 x 9"
free shipping
TF77772 2019 1099 Double-Window Self-Seal Envelope 5 5/8 x 9
TF77772 2019 1099 Double-Window Self-Seal Envelope 5 5/8 x 9"
Your Price: Starting at $18.60
TF77772 2019 1099 Double-Window Self-Seal Envelope 5 5/8 x 9"
TF77772 2019 1099 Double-Window Self-Seal Envelope 5 5/8 x 9"
free shipping

Product Reviews

Rate This Product:
or Create a Review
(0 Ratings, 0 Reviews)
$16.20 TF5096 2019 Laser ACA 1095C Employer Provided Health Insurance 8 1/2 X 11"

Join for Coupons
Or Text
5FORMS to 22828

5Forms on Twitter   5Forms on Facebook   5Forms on Instagram   5Forms on Pinterest

5Forms Order Status





Shopping Cart
Your cart is empty.
Search Shopping Lists